Healthcare Provider Details

I. General information

NPI: 1215214382
Provider Name (Legal Business Name): ANDREW WILLIAM GEERS PA-C, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 W COLONIAL DR STE 187
OCOEE FL
34761-3438
US

IV. Provider business mailing address

10000 W COLONIAL DR STE 187
OCOEE FL
34761-3438
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5851
  • Fax: 321-843-1673
Mailing address:
  • Phone: 321-843-5851
  • Fax: 321-843-1673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9109056
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA9109056
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL3193
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: